LINCOLN LUTHERAN COMMUNITY CARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LINCOLN LUTHERAN COMMUNITY CARE (EIN 39-1674718)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-12
IRS object ID
201302249349300505
Schema version
2012v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-12T06:53:31-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391674718EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran Community Care Corporation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLINCNameControl
Phone2626330500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel RischName
TitleCEOTitle
Date Signed2013-08-12DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Becker Shoop CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel RischNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DrvieAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6155895GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lincolnlutheran.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionBecker Shoop provides skilled nursing care focused on caring for individuals with dementia in a facility with 110 beds. The average census in 2012 was 74 and the total number of move-ins were 90. The average occupancy during 2012 was 67.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees213TotalNbrEmployees
Total Nbr Volunteers31TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year57937ContributionsGrantsPriorYear
Contributions Grants Current Year13479ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6367487ProgramServiceRevenuePriorYear
Program Service Revenue CY6112599ProgramServiceRevenueCY
Investment Income Prior Year81InvestmentIncomePriorYear
Investment Income Current Year249InvestmentIncomeCurrentYear
Other Revenue Prior Year14952OtherRevenuePriorYear
Other Revenue Current Year29568OtherRevenueCurrentYear
Total Revenue Prior Year6440457TotalRevenuePriorYear
Total Revenue Current Year6155895TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4092780SalariesEtcPriorYear
Salaries Etc Current Year4069641SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3558260OtherExpensePriorYear
Other Expenses Current Year3032293OtherExpensesCurrentYear
Total Expenses Prior Year7651040TotalExpensesPriorYear
Total Expenses Current Year7101934TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1210583RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-946039RevenuesLessExpensesCY
Total Assets BOY2112419TotalAssetsBOY
Total Assets EOY2278718TotalAssetsEOY
Total Liabilities BOY789504TotalLiabilitiesBOY
Total Liabilities EOY1307674TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1322915NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY971044NetAssetsOrFundBalancesEOY
Mission DescriptionBecker Shoop provides skilled nursing care focused on caring for individuals with dementia in a facility with 110 beds. The average census in 2012 was 74 and the total number of move-ins were 90. The average occupancy during 2012 was 67. Renovation of the building started at the end of 2012 with a new short-term rehabilitation unit whith 20 spacious, private rooms.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5598950Expense
Revenue6155895Revenue
DescriptionSkilled Nursing Facility that offers specialized care designed to enhance quality of life and personal dignity of residents living with Alzheimers or other forms of Dementia. Our programs at Becker Shoop are developed with attention to the individual needs and interests of the residents in various stages of the disease. We work closely with family members to provide support and counseling. Programming is centered on activities of daily living to create routine and familiarity. The community offers an environment that is secure and wlcoming, creating a space that feels like home. Our staff have specialized training that enables them to respond appropriately to the special physical, emotional, social and sensory needs of the residents. Becker Shoop welcomes family and friends to participate in their loved ones care as much as possible ton enhance their lives. Becker Shoop, a 108 bed community is Medicare and Medicaid Title 19 certified and offers round-the-clock nursing care for short and long term stays.Description
Total Program Service Expense5598950TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees213NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLincoln Lutheran of Racine IncNamePerson
Telephone Number2626330500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Raymond Koukari Jr
President001.00009.00XX000
Cheryl Thoms
Vice President001.00009.00XX000
Dave Titus
Treasurer001.00009.00XX000
Morris Reece
Secretary001.00009.00XX000
Dana O'Briend
Member-At-Large001.00009.00XX000
Daniel Risch
CEO of Lincoln Lutheran of Racine001.00009.00XX017994332859XX
Sandra Reynolds
Administrator040.0091037022180XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org91037TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs179943TotalReportableCompFrmRltdOrgs
Total Other Compensation55039TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Rehab Care ServicesBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1SRS DivisionAddressLine1
CitySt LouisCity
StateMOState
ZIP Code631503534ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTherapy ServicesDescriptionOfServices
Compensation502670Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions13479AllOtherContributions
Total Contributions13479TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNursing Home RevenueDescription
Business Code623000BusinessCode
Total Revenue Column6112599TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue6112599TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column249TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
Barber/Beauty62300011248
Guest Meals/Vending623000317

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column18003TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue29568TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6155895TotalRevenueColumn

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total91037Total
Program Services45519ProgramServices
Management And General45518ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3024808Total
Program Services2728562ProgramServices
Management And General296246ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total553104Total
Program Services492263ProgramServices
Management And General60841ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total400692Total
Program Services356616ProgramServices
Management And General44076ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total435638Total
Management And General435638ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12148Total
Management And General12148ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24155Total
Management And General24155ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total3902Total
Program Services1951ProgramServices
Management And General1951ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total53810Total
Management And General53810ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total48168Total
Program Services24084ProgramServices
Management And General24084ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total235009Total
Program Services235009ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1961Total
Management And General1961ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3659Total
Program Services238ProgramServices
Management And General3421ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total81275Total
Program Services81275ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total51511Total
Program Services49101ProgramServices
Management And General2410ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Nursing/Ancillary Expense802733802733
Dietary360577360577
Housekeeping/Laundry8788187881
Bad Debt/Cont Srv/Recruit/Provider Assessment427005427005

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total402861Total
Program Services333141ProgramServices
Management And General69720ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7101934Total
Program Services5598950ProgramServices
Management And General1502984ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY183457BOY
EOY159172EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1039065BOY
EOY652149EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY6558BOY
EOY4417EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY83671BOY
EOY86323EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4690959LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3449684LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY739243BOY
EOY1241275EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY60425BOY
EOY135382EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2112419BOY
EOY2278718EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY563857BOY
EOY628210EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY165222BOY
EOY116155EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY551745EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY60425BOY
EOY11564EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY789504BOY
EOY1307674EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1322915BOY
EOY971044EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1322915BOY
EOY971044EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2112419BOY
EOY2278718EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-946039ReconcilationRevenueExpenses
Reconcilation Other Changes594168ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13005CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3329CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3527CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57937CurrentTaxYearMinus1Year
Current Tax Year13479CurrentTaxYear
Total91277Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6932914CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7041713CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6579928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6367487CurrentTaxYearMinus1Year
Current Tax Year6112599CurrentTaxYear
Total33034641Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6945919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7045042CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6583455CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6425424CurrentTaxYearMinus1Year
Current Tax Year6126078CurrentTaxYear
Total33125918Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70646CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65996CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64405CurrentTaxYearMinus1Year
Current Tax Year61558CurrentTaxYear
Total332329Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years69724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70646CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65996CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64405CurrentTaxYearMinus1Year
Current Tax Year61558CurrentTaxYear
Total332329Total
FieldValueIRS element (for citing)
Public Support Total50932793589PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3784CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year81CurrentTaxYearMinus1Year
Current Tax Year249CurrentTaxYear
Total4493Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3784CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year81CurrentTaxYearMinus1Year
Current Tax Year249CurrentTaxYear
Total4493Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22674CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19424CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15974CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14952CurrentTaxYearMinus1Year
Current Tax Year29568CurrentTaxYear
Total102592Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6972377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7064640CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6599634CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6440457CurrentTaxYearMinus1Year
Current Tax Year6155895CurrentTaxYear
Total33233003Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98680PublicSupportPercentage509
Prior Year Support Percentage0.98630PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00090PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Other income includes barber and beauty shop, guest meals and vending, and other misc revenue.FactsAndCircumstancesTest
General ExplanationPart III Line 12 Other income includes barber and beauty shop, guest meals and vending, and other misc revenue.GeneralExplanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis90361OtherCostOrOtherBasis
Book Value90361BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2453069OtherCostOrOtherBasis
Depreciation2131624Depreciation
Book Value321445BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1404185OtherCostOrOtherBasis
Depreciation1189026Depreciation
Book Value215159BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis743344OtherCostOrOtherBasis
Depreciation129034Depreciation
Book Value614310BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1241275TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Resident Trust11564
Cash reserve for security in long term debt123818
FieldValueIRS element (for citing)
Total Book Value Other Assets135382TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Federal income taxes
Resident Trust$11,564
FieldValueIRS element (for citing)
Total Of Amounts11564TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt6155895TotRevenueEtcAuditedFinclStmt
Revenue Subtotal6155895RevenueSubtotal
Total Revenue Per Form9906155895TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7101934TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7101934ExpensesSubtotal
Total Expenses Per Form9907101934TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDaniel RischNamePerson
TitleCEO of Lincoln Lutheran of RacineTitle
Comp Based On Related Orgs178506CompBasedOnRelatedOrgs
Other Compensation Related Orgs1437OtherCompensationRelatedOrgs
Deferred Comp Related Orgs15504DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs17355NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs212802TotalCompensationRelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference3ReturnReference
ExplanationCEO is paid by related organization.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

ExplanationExplanation
Form 990 Part VI Line 7a Describe who may elect members of the governing body - The Board of Directors elect other members to the Board.
Form 990 Part VI Line 9 Name and address of Board of Directors who cannot be reached at the organizations mailing address Raymond Koukari, Jr., President, Gateway Technical College, 1001 Main Street, Racine, WI 53401 Cheryl Thomas, Vice Presdient, Blue Cross Blue Shield, 225 N. Michigan Ave., Chicago, IL 60601 Dave Titus, Treasurer, BMO Bank, One Main Street, Racine, WI 53403 Morris Reece, Secretary, City of Racine, 800 Center Street, Racine, WI 53403 Rev. Dana OBrien, Member At Large, Atonement Lutheran Church, 2915 Wright Ave., Racine, WI 53405
Form 990 Part VI Line 11A Describe the review process of the 990 - The tax returns are given to the Board of Directors once completed.
Form 990 Part VI Line 12c Describe how the organization monitors the compliance policy - The organization performs reviews to ensure compliance.
Form 990 Part VI Line 15a and 15b Description of process for determining compensation - The organization does not employee officiers.
Form 990 Part VI Line 18 and 19 Description for making documents public - The organiztion has this information available upon request.
Form 990 Part VII Section A Line b Average hours per week - Daniel Rischs hours primarily relate to the organization Lincoln Lutheran of Racine, Inc. He only spends about 1 hour per week related to this organziation.
Form 990 Part VII Section A Line e Describe reasonable efforst for the information in e reportable compensation - Information was taken from W2 of organization and related organization.
Form 990 Part XI Line 5 Other changes in net assets were recorded in 2012 in the amount of 594,169. This relates to the amounts due to Lincoln Lutheran of Racine were treated as an equity transfer due to the fact that Lincoln Lutheran Community Care does not have the ability to pay the amounts due.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Trinity Terrace Inc
2000 Domanik DriveRacineWI53404391667734Low Income HousingWI501c39Lincoln Lutheran of Racine Incfalse
Lincoln Lutheran of Racine Inc
2000 Domanik DriveRacineWI53404390874802Senior ServicesWI501c31falseN/A
Lincoln Villas North Inc
2000 Domanik DriveRacineWI53404391363010Low Income HousingWI501c39Lincoln Lutheran of Racine Incfalse
Lincoln Lutheran Charitable Trust
2000 Domanik DriveRacineWI53404391316328Investments for Lincoln LutheranWI501c39Lincoln Lutheran of Racine Incfalse
Atrium of Racine Inc
2000 Domanik DriveRacineWI53404391615970Independent Housing/Assisted LivingWI501c39Lincoln Lutheran of Racine Incfalse
Siena on the Lake
2000 Domanik DriveRacineWI53404452814682Senior ServicesWI501c39Lincoln Lutheran of Racine Incfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Lincoln Manor Redevelopment
2000 Domanik DriveRacineWI53404203503259Low Income HousingWILincoln Lutheran of Racine Incfalsefalse
LVR Developer
2000 Domanik DriveRacineWI53404800553461Development CompanyWILincoln Lutheran of Racine Incfalsefalse
Lincoln Danish Home
2000 Domanik DriveRacineWI53404800451348Elderly HousingWILincoln Lutheran of Racine Incfalsefalse
Lincoln Villas Redevelopment
2000 Domanik DriveRacineWI53404383781716Low Income HousingWILincoln Lutheran of Racine Incfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LMR Managing MemberBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
EIN203502780EIN
Primary ActivityManaging MemberPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of Racine IncBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Lincoln Lutheran of Racine Inc
c594169actual expense
Lincoln Lutheran of Racine Inc
m435638actual expense
Lincoln Lutheran of Racine Inc
p621871actual expense

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